Guadalupe Guillen Gomez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

61566391 Issued in WA

Practice address

2926 Covey LN
Sunnyside, WA 98944-8941

Phone

(509) 836-2818

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Guadalupe Gomez Other name

Medicare fee-for-service enrollment

Enrolled in MN, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center Vision and Contact Lens Clinic Inc P SGroup PAC ID 8325038789, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center Vision & Contact Lens Clinic Inc P S

  dba Center Vision Clinic

  • Optometrist
  • Kennewick, WA
  • NPI 1730132085
  Medicare reassignment Care Compare group NPD
• Chu Laser Eye Institute, PA

  dba Chu Vision Institute, PA

  • Specialist
  • Bloomington, MN
  • NPI 1407977762
  Medicare reassignment NPD
• Douglas Duggan

  dba Clarity Eye Care

  • Optometrist
  • Sunnyside, WA
  • NPI 1437604964
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1104671080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 IDA BELLE ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449030",
            "telephone_number": "509-643-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 COVEY LN",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448941",
            "telephone_number": "509-836-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GUADALUPE",
        "middle_name": "GUILLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61566391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "GOMEZ",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rick George
• Lori Lynn Gherman, LMP LICENSED MASSAGE
• Jessiela Pearl Gill
• Jeffrey Gilles, MD
• Alan David Goldstein, ARNP
• Nora C Gonzalez
• Yuliana Colin Gonzalez
• Heidi Ruth Graf, MA
• Elizabeth Abigail Grant, WHNP
• Greg Norell, DDS

• Optometrist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.